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Individual

DR. MICHELLE LECHER KUSHNIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 E SYBELIA AVE STE 100, MAITLAND, FL 32751-4748
(407) 636-6520
(407) 636-6525
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2011-00574
NC
208D00000X
General Practice Physician
Primary
0101236820
VA
208D00000X
General Practice Physician
ME130076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5918806
NC
Enumeration date
10/12/2006
Last updated
02/16/2017
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